Active NPI
Veronica A Groth, N.P.P
- Psychiatric/Mental Health Nurse Practitioner
- Port Jefferson Station, NY
National Provider Identifier
1831101112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 400489
- Practice address
- 4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579 - Phone
- (631) 327-5395
- Fax
- (631) 642-7955
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400489 | NY | Primary |
Addresses
Primary practice location
4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579
Mailing address
30 Mark Twain LN
Setauket, NY 11733-1764
Phone (631) 689-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400489 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanne M. Morris-Foley, NP Psychiatry, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Healing Minds Center
- Nurse Practitioner
- Port Jefferson Station, NY
- NPI 1336371251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1831101112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MARK TWAIN LN",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117331764",
"telephone_number": "631-689-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 NESCONSET HWY",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762579",
"telephone_number": "631-327-5395",
"fax_number": "631-642-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTH",
"first_name": "VERONICA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "N.P.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "400489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.